| NPI | 1972194256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA MAE HEIFETZ Clinical Mental Health Counselor 503-933-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |